侧卧截石位顺行软镜联合逆行输尿管镜在输尿管下段结石并输尿管口闭锁中的应用  

Application of anterograde flexible ureteroscope combined with retrograde ureteroscope in the treatment of lower ureteral calculi with ureteral atresia in lateral lithotomy

作　　者：严威 徐杰[1] 高文喜[1] 胡少炜[1] YAN Wei;XU Jie;GAO Wenxi;HU Shaowei(Department of Urology,Hubei Hospital of Traditional Chinese Medicine,Wuhan 430060,China)

机构地区：[1]湖北省中医院泌尿外科,湖北武汉430060

出　　处：《现代泌尿外科杂志》2023年第2期130-132,共3页Journal of Modern Urology

摘　　要：目的 探讨顺行输尿管软镜(FU)联合逆行输尿管镜(URS)在输尿管下段结石并输尿管口闭锁中的临床有效性和安全性。方法 2018年1月—2021年6月,湖北省中医院对7例输尿管下段结石合并输尿管口闭锁的患者采用顺行FU、同时联合逆行URS手术治疗。结果 手术成功处理输尿管结石及输尿管口闭锁,无严重手术并发症发生,术后6~8周复查泌尿系CT,患侧肾积水均有不同程度缓解,输尿管支架位置良好,无结石残留。术后随访6个月,患侧肾积水无明显加重,肾功能持续稳定。结论 顺行FU联合逆行URS在输尿管下段结石并输尿管口闭锁的结石清除率高、创伤小,可同时治疗输尿管口狭窄和肾结石。Objective To investigate the safety and efficacy of flexible ureteroscope(FU) combined with retrograde ureteroscope(URS) in the treatment of lower ureteral calculi with ureteral atresia.Methods Clinical data of 7 patients treated during Jan.2018 and Jun.2021 were retrospectively analyzed.Results Ureteral calculi and ureteral atresia were successfully treated, without serious complications.Six to eight weeks after operation, CT examination showed that hydronephrosis was relieved to varying degrees and the ureteral stents were in good position, without residual stones.Six months after operation, there was no significant exacerbation of hydronephrosis and the renal function remained stable.Conclusion Anterograde FU combined with retrograde URS has high stone-clearance rate, small trauma and high safety in the treatment of ureteral stricture and ureteral calculi.

关 键 词：顺行软镜 输尿管镜 输尿管口闭锁 输尿管结石 

分 类 号：R693.4[医药卫生—泌尿科学]